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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 1/2018

01-02-2018 | Original Paper

Breast augmentation combined with a transposed glandular flap for prevention and correction of lower pole deformities

Authors: Dmitry Batiukov, Vladimir Podgaiski

Published in: European Journal of Plastic Surgery | Issue 1/2018

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Abstract

Background

Lower pole deformities constitute the most complex problem encountered during and after breast augmentation. If the procedure is not accurately planned, the choice of techniques to correct lower pole deformity intraoperatively can be limited, leading to the possibility of additional scarring or the necessity of a second surgery.

Methods

Volume deficiencies of the lower pole after implant placement, such as flatness and double bubble, are indications for the proposed technique. A glandular flap is created by bisecting the lower pole of the gland and is transposed inwards and downwards to fill the deficient area. It is not necessary to fix the flap in place.

Results

Between January 2011 and December 2014, 30 patients underwent breast augmentation or augmentation-mastopexy combined with a transposed glandular flap. A desired lower pole was achieved in all the cases. No major complications were observed.

Conclusions

The transposed glandular flap herein described was proven to be useful to correct volume deficiencies of the lower pole after implant placement in cases of primary and secondary cases of breast augmentation.
Level of Evidence: Level IV, therapeutic study
Appendix
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Metadata
Title
Breast augmentation combined with a transposed glandular flap for prevention and correction of lower pole deformities
Authors
Dmitry Batiukov
Vladimir Podgaiski
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 1/2018
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-017-1312-0

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